Download Meningitis in schools

MENINGITIS IN SCHOOLS
NUT HEALTH & SAFETY BRIEFING
This briefing sets out NUT guidance on meningitis as follows: the nature of the
illness and the different types of meningitis; the vaccines available and the steps
which should be taken when an outbreak occurs. It also draws attention to sources
of further guidance on matters such as symptoms and diagnosis.
What is meningitis?
Meningitis is inflammation of the membranes that surround and protect the brain and spinal cord.
The most common germs that cause meningitis are viruses and bacteria.
Viral meningitis is rarely life-threatening, although it can make people very unwell. Most people
make a full recovery, but sufferers can be left with after-effects such as headaches, tiredness and
memory loss.
Bacterial meningitis can be life-threatening and needs urgent medical attention. Most people
make a full recovery, but many are left with debilitating after-effects such as deafness, epilepsy and
brain damage, and one in 10 will die.
Despite vaccines being available to prevent some types of meningitis, each year in the UK there are
about 2,500 cases of bacterial meningitis and an estimated 5,000 cases of viral meningitis.
Many different bacteria can cause meningitis. The main types are meningococcal, pneumococcal,
TB and Hib.
Meningococcal bacteria are the most common cause of bacterial meningitis in the UK. They can
cause both meningitis and septicaemia (blood poisoning), which often happen together. It is
important to be aware of all the signs and symptoms. Signs and symptoms information is
available from https://www.meningitisnow.org/.
Transmission of meningitis
The germs that cause bacterial meningitis usually live harmlessly in the back of the throat. Most of
us will carry them at some stage in our lives without becoming ill, and they help us build up natural
immunity (protection against the disease). Occasionally, these germs get past the body’s defences
and cause infection.
The germs are passed from person to person through coughing, sneezing and intimate kissing, but
they will rarely cause disease.
Meningitis and septicaemia can affect anyone at any age, but babies and young children are most
at risk. Teenagers and young people are also at risk, particularly during the first year at university.
Most cases happen alone, but when there is a case of meningococcal disease, there is a small
chance that further cases can happen. The local public health office may offer antibiotics to people
who have been in close contact for a long period of time with someone who has meningococcal
disease. This is to reduce the risk of further cases.
NUT Health and Safety Briefing: Meningitis in Schools
Dec 16
Preventing meningitis
Vaccination is the only way to prevent meningitis. Effective vaccines are available to prevent some
types of bacterial meningitis and these have dramatically reduced the number of cases in the UK.
To continue this success, the number of people having the vaccines needs to remain high.
Vaccines that protect against meningococcal group C, Hib and pneumococcal bacteria are offered
as part of the routine childhood immunisation programme.
But at least 90% of meningococcal disease in the UK is caused by group B, and there had
previously been no vaccination for this. However, in March 2014, the Joint Committee on
Vaccination and Immunisation (JCVI) recommended that a new vaccine for meningitis B, be
included in the childhood immunisation programme. Since September 2015, all babies born on or
after 1st July 2015 will be offered the vaccination.
Dealing With Cases of Meningitis
Cases of meningitis must be notified to the Local Authority or Health Protection Team’s ‘Consultant
in Communicable Disease Control’ (CCDC), also known as the ‘proper officer’. The CCDC is, in
particular, responsible for advice on precautions to be taken in schools with regard to cases
involving school pupils.
When a case of meningitis occurs, it is important that parents, pupils and staff are fully and regularly
informed. It is sensible for schools to hold information on identifying the signs and symptoms of
meningitis and meningococcals septicaemia, and on steps which may need to be taken if there are
cases at the school. It is also sensible for each school to have a named person who will deal with
this type of issue.
Meningitis is not regarded by the medical profession as highly infectious. Due to the means of
transmission, only the patient’s close contacts, generally family members, are at any significant risk.
Contacts are usually offered antibiotics, which are intended to reduce the risk of further cases. The
use of antibiotics does not, however, guarantee that contacts will not contract meningitis. Contacts
will also generally be offered vaccination if appropriate, although this offers protection only in the
longer term and against only certain strains of meningitis.
Medical advice is likely to be that the risk of transmission to contacts at school is low and, therefore,
that the school will not need to be closed, close contacts such as siblings will not need to be
excluded and other contacts such as teachers and fellow pupils will not need treatment with
antibiotics or vaccination. In general, antibiotics and mass vaccination are offered only where at
least two cases occur in a school simultaneously or very close together.
The NUT has, however, generally sought in such circumstances to ensure that antibiotics and/or
vaccination are made available to contacts who request them, at the very least to those teachers
and pupils who have been in close contact with the person suffering from meningitis. In the event of
an outbreak, the NUT believes that provision of antibiotics and vaccination should be made
available to teachers. NUT members facing difficulty in obtaining this should contact the NUT
Adviceline in England on 0203 006 6266 or NUT Cymru in Wales on 029 2049 1818.
Further Information
Advice in connection with any specific case of meningitis should be sought from the relevant
Consultant in Communicable Disease Control. For assistance, you can contact your local Health
NUT Health and Safety Briefing: Meningitis in Schools
Dec 16
Protection Team, details of which can be accessed at:
http://legacytools.hpa.org.uk/AboutTheHPA/WhatTheAgencyDoes/LocalServices/PostcodeSearch/.
For support and information, including signs and symptoms contact:
Meningitis Now
Helpline – 0808 8010 388
Email – [email protected]
Website - https://www.meningitisnow.org/
General guidance relevant to schools, provided by Public Heath England, and the NHS are
available at :
https://www.gov.uk/health-protection/infectious-diseases
http://www.nhs.uk/conditions/Meningitis/Pages/Introduction.aspx
NUT Health and Safety Briefing: Meningitis in Schools
Dec 16